1. Home
  2. Directory
  3. Virginia
  4. Norfolk
  5. Internal Medicine
  6. NPI Profile

RAYMOND LOUIS BENZA MD
NPI 1366497430
Internal Medicine - Advanced Heart Failure and Transplant Cardiology in Norfolk, VA

Active since May 24, 2006PECOS EnrolledAccepts Medicare Assignment
58.98/100
CMS Quality Rating
600 GRESHAM DR, NORFOLK, VA 23507(757) 388-3934(757) 388-2957 Get Directions Write a Review

NPPES record last updated: December 4, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 4, 2025, Jun 24, 2025, Oct 2, 2023 and 4 more (7 updates tracked since 2016).

About Raymond Louis Benza Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RAYMOND LOUIS BENZA MD (NPI 1366497430) is an individual advanced heart failure and transplant cardiology provider in Norfolk, Virginia, licensed in Virginia (0101285991) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Sentara Norfolk General Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1366497430
Entity TypeIndividualMale
Primary Taxonomy207RA0001X
Provider Legal NameRAYMOND LOUIS BENZACredential: MD
Location Address600 GRESHAM DRNorfolk, VA 23507-1904
Mailing Address600 Gresham DrNorfolk, VA 23507-1904 · (757) 388-3934 · Fax (757) 388-2957
Phone(757) 388-3934
Fax(757) 388-2957
Sole ProprietorNo
Medical School CMSUniversity Of Florida College Of MedicineGraduated 1989
Enumeration DateMay 24, 2006
Last NPPES UpdateDecember 4, 20257 updates tracked since enumeration
NPPES CertifiedDecember 4, 2025
✔ NPI 1366497430 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Advanced Heart Failure and Transplant CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RA0001X
License✔ Licensed in VA · 0101285991
Definition
Specialists in Advanced Heart Failure and Transplant Cardiology would participate in the inpatient and outpatient management of patients with advanced heart failure across the spectrum from consideration for high-risk cardiac surgery, cardiac transplantation, or mechanical circulatory support, to pre-and post-operative evaluation and management of patients with cardiac transplants and mechanical support devices, and end-of-life care for patients with end-stage heart failure.
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License 189292 (NY), 0101285991 (VA)
600 GRESHAM DR, Norfolk, VA 23507
Open in Google Maps ↗

Secondary Practice Locations 2

Location 11 Gustave L Levy PlNew York, NY 10029-6504 · Phone (212) 427-1540 · Fax (212) 410-7196
Location 21190 5th AveNew York, NY 10029-6503 · Phone (212) 427-1540 · Fax (212) 410-7196

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Antidote Health Plan of Ohio, Inc., CareSource.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Raymond Louis Benza Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1850460445
PECOS Enrollment IDI20250828005385
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Raymond Benza reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Sentara Medical Group
5.3 mi
Family Medicine
824 N MILITARY HWY STE 100
Norfolk, VA 23502
  • Reassigned Medicare billing, Virginia enrollment
  • 1,901 clinicians in this Medicare group
NPI 1265485270 (757) 252-2900
Icahn School Of Medicine At Mount Sinai
299 mi
Cardiovascular Disease
1 GUSTAVE L LEVY PL
New York, NY 10029
  • Reassigned Medicare billing, New York enrollment
  • 41 clinicians in this Medicare group
NPI 1487912416 (212) 731-7822

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
158 services50 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
22 services12 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
20 services13 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
19 services16 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
19 services18 patients
Remote monitoring of pulmonary artery pressure sensor, up to 30 days 93264
Remote monitoring of pulmonary artery pressure is a procedure where a sensor, placed in your lung artery, transmits data about your heart's function for up to 30 days. This helps doctors monitor your heart health remotely, ensuring timely intervention if needed.
17 services17 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Sentara Norfolk General Hospital

Acute Care Hospitals · Norfolk, VA
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number490007
Location600 Gresham DrNorfolk, VA 23507 · Norfolk City County
Emergency services Birthing friendly

Sentara Obici Hospital

Acute Care Hospitals · Suffolk, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number490044
Location2800 Godwin BoulevardSuffolk, VA 23439 · Suffolk City County
Emergency services Birthing friendly

Sentara Leigh Hospital

Acute Care Hospitals · Norfolk, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number490046
Location830 Kempsville RoadNorfolk, VA 23502 · Norfolk City County
Birthing friendly

Sentara Virginia Beach General Hospital

Acute Care Hospitals · Virginia Beach, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number490057
Location1060 First Colonial RoadVirginia Beach, VA 23454 · Virginia Beach City County
Emergency services

Sentara Careplex Hospital

Acute Care Hospitals · Hampton, VA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490093
Location3000 Coliseum DriveHampton, VA 23666 · Hampton City County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23507 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$129.04 typical visit price
range $56.19 – $170.30
Typical copayment $32.26 (range $14.04 – $42.57)
Most-billed visit code 99204
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

58.98/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality18.04
Promoting Interoperability100
Improvement Activities20
Cost63.52

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable oxygen contents, liquid, 1 month's supply = 1 unit E0444
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$42.36 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TRACY LYN MARTINO
Nurse Practitioner (Family)
600 GRESHAM DR
NORFOLK, VA 23507
Norfolk City (757) 388-8441
REBEKAH ANN CRISP AUD
Audiologist
600 GRESHAM DR, SUITE 1100
NORFOLK, VA 23507
Norfolk City (757) 388-6200
DEVIN PAGE RUSSELL MCINTOSH MD
Student in an Organized Health Care Education/Training Program
600 GRESHAM DR
NORFOLK, VA 23507
Norfolk City (757) 446-8937
DR. ADAM GRANT EVANS MD
Student in an Organized Health Care Education/Training Program
600 GRESHAM DR
NORFOLK, VA 23507
Norfolk City (717) 388-8000
ABIGAIL WHALEY SMITH DO
Student in an Organized Health Care Education/Training Program
600 GRESHAM DR
NORFOLK, VA 23507
Norfolk City (757) 388-3551
DR. KATHERINE ALLEN MCKNEW P.T.
Physical Therapist
600 GRESHAM DR
NORFOLK, VA 23507
Norfolk City (757) 388-3663
VICTOR SAXENA M.D.
Anesthesiology
600 GRESHAM DR
NORFOLK, VA 23507
Norfolk City (757) 473-0055
AMY LEIGH CLARK
Nurse Anesthetist, Certified Registered
600 GRESHAM DR
NORFOLK, VA 23507
Norfolk City (757) 388-3000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Raymond Benza's NPI number?

The NPI number for Raymond Benza is 1366497430. It was assigned to this individual provider in the NPPES registry on May 24, 2006.

Where is Raymond Benza located?

Raymond Benza practices at 600 Gresham Dr, Norfolk, VA 23507. The listed phone number is (757) 388-3934.

What is Raymond Benza's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Advanced Heart Failure and Transplant Cardiology, with taxonomy code 207RA0001X.

Is Raymond Benza enrolled in Medicare?

Yes. Raymond Benza is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Raymond Benza's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Raymond Benza reassigns Medicare benefits to 2 organizations: Sentara Medical Group (Norfolk, VA) and Icahn School Of Medicine At Mount Sinai (New York, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Raymond Benza's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Raymond Benza accept?

Health plans from Antidote Health Plan of Ohio, Inc. and CareSource list Raymond Benza as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Raymond Benza affiliated with any hospitals?

According to CMS data, Raymond Benza is affiliated with Sentara Norfolk General Hospital, Sentara Obici Hospital, Sentara Leigh Hospital, Sentara Virginia Beach General Hospital and Sentara Careplex Hospital.

When was this NPI record last updated?

The NPPES record for Raymond Benza was last updated on December 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.